Sarcopenia, age‐associated involuntary loss of muscle and strength, can progress to clinically relevant functional decline. Resistance exercise attenuates muscle and strength loss but may not be feasible for some older adults. Aerobic exercise training (
AET
) improves cardiopulmonary health; however, effects on protein turnover, muscle mass, and strength are less clear. We aimed to determine whether
AET
improves basal myofibrillar protein synthesis (
MPS
) and capillarization, promoting hypertrophy and strength. We hypothesized that
AET
improves strength with increased
MPS
and capillarization. Older adults were randomized to non‐exercise (
NON
; n = 11, 71.4 ± 4.18 years) or exercise (
EX
; n = 12, 73.7 ± 4.05 years).
EX
completed 24 weeks of
AET
(walking 3×/week, 45 minutes, 70% heart rate reserve);
NON
remained sedentary. A stable isotope tracer was infused.
MPS
and capillarization were analyzed from
vastus lateralis
muscle biopsies. Strength was measured via isokinetic dynamometry. Lean mass was determined with dual‐energy X‐ray absorptiometry. Basal
MPS
increased in
EX
(+50.7%,
P
=
0.01) along with capillary density (+66.4%,
P
=
0.03), peak oxygen consumption (+15.8%,
P
=
0.01), quadriceps strength (+15.1%,
P
=
0.01), and muscle quality (peak torque divided by leg lean mass, +15.5%,
P
=
0.01). Lean mass did not change (
P
>
0.05).
AET
increases muscle protein turnover and capillarization in older adults, improving muscle quality.